JOHN G MICKELSON DO
NPI 1497773097
Family Medicine in Lincoln City, OR
About John G Mickelson Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN G MICKELSON DO (NPI 1497773097) is an individual family medicine provider in Lincoln City, Oregon, licensed in Oregon (DO226460) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Fargo.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
John G Mickelson Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show John Mickelson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lincoln City, OR 97367
- Reassigned Medicare billing, Oregon enrollment
- Also billed through NPI 1841554177 (Oregon)
- 277 clinicians in this Medicare group
Depoe Bay, OR 97341
- Reassigned Medicare billing, Oregon enrollment
- Also billed through NPI 1912257460 (Oregon)
- 332 clinicians in this Medicare group
Bismarck, ND 58504
- Reassigned Medicare billing, North Dakota enrollment
- 617 clinicians in this Medicare group
Ellendale, ND 58436
- Reassigned Medicare billing, North Dakota enrollment
- 1,464 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97367 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LINCOLN CITY, OR 97367
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is John Mickelson's NPI number?
The NPI number for John Mickelson is 1497773097. It was assigned to this individual provider in the NPPES registry on July 18, 2006.
Where is John Mickelson located?
John Mickelson practices at 2930 NE West Devils Lake Rd Ste 3, Lincoln City, OR 97367. The listed phone number is (541) 557-6427.
What is John Mickelson's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is John Mickelson enrolled in Medicare?
Yes. John Mickelson is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for John Mickelson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Mickelson reassigns Medicare benefits to 4 organizations: Samaritan North Lincoln Hospital (Lincoln City, OR), Samaritan Pacific Health Services, Inc (Depoe Bay, OR), Innovis Health, LLC (Bismarck, ND) and Sanford Medical Center Fargo (Ellendale, ND). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Mickelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Mickelson accept?
Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list John Mickelson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for John Mickelson was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# John G Mickelson, DO · NPI 1497773097
Family Medicine physician in Lincoln City, Oregon. Individual provider, active in the CMS NPPES registry since July 18, 2006.
## Identity
- **NPI:** 1497773097 (Entity type: Individual)
- **Enumerated:** July 18, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** DO226460 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 2930 NE WEST DEVILS LAKE RD STE 3, Lincoln City, OR 97367-5195
- **Phone:** (541) 557-6427
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Samaritan North Lincoln Hospital (NPI 1942698154, Lincoln City, OR); Samaritan Pacific Health Services, Inc (NPI 1164781142, Depoe Bay, OR); Innovis Health, LLC (NPI 1447978358, Bismarck, ND); Sanford Medical Center Fargo (NPI 1346256682, Ellendale, ND) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 4, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1497773097) · Data from the CMS NPPES public registry.